| NPI | 1073515748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: NC 200401505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200401505) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-09-15 |